By Phoebe Rich
Illnesses of the nail signify a shockingly huge portion of such a lot dermatologists' perform - and will current tricky, occasionally intractable, scientific difficulties. Co-authored through one of many world's premier professionals within the box, An Atlas of ailments of the Nail presents specialist and authoritative assistance on all features of prognosis and management.A complete consultant to universal nail ailments, the publication comprises anatomy and body structure of the nail unit, paronychia and onycholysis, nail fungal infections, nails in dermatologic illnesses, nails in systemic illness, nail beauty chemistry, nail cosmetics, medical features, plus the remedy of nail problems and nail surgical procedure. interpreting the nail from each attitude, An Atlas of illnesses of the Nail offers you a visible connection with nail ailments supported by way of textual content masking prognosis and therapy.
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Extra resources for An Atlas of Deseases of the Nail
Onycholysis is associated with psoriasis (Figure 30), onychomycosis, yellow nail syndrome, contact dermatitis, medications and endocrine disorders, as well as many environmental causes. Figure 29 Onycholysis, with separation of the nail plate from the nail bed. An atlas of diseases of the nail 26 Affected areas appear white because there is air beneath the nail plate Figure 30 Onycholysis in psoriasis Onycholysis can be drug-induced, as in photoonycholysis (Figure 31) attributed to doxycycline, and it can be self-induced (Figure 32).
Chronic paronychia Chronic paronychia usually starts from trauma or irritant reaction from exposure to environmental irritants or foods. Housewives, cooks, waitresses and other people with wet work jobs are at risk for chronic paronychia (Figure 46). With the cuticle gone, the potential space under the nail fold is open to contamination with ubiquitous yeasts and bacteria. The nail fold becomes swollen and inflamed (Figure 47). As the chronic paronychia progresses, the nail plate develops horizontal ridges and grooves (Figure 48).
The configuration of nail pitting depends on the area of the matrix involved, and the duration of the pathological process in the nail matrix. The longitudinal dimension of the pits is determined by the length of time that the psoriasis is active in that portion of the nail matrix (Figure 51). The arrangement of the depressions in the surface of the nail can be in regular or in haphazard arrays. Pitting seen in psoriasis and alopecia areata, presumably due to the extent and location of the disease in the nail matrix, can be confluent or, more commonly, is scattered, although in alopecia areata a linear arrangement often occurs (Figure 52).
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